657 Bridle Ridge Rd
Use BLUE or BLACK Ink
-----,-----------i
j Permit / I
City of Eajan
3830 Pilot Knob Road I Permit Fee: " - I
Eagan MN 55122 I I
I Date Received:
Phone: (651) 675-5675 RECEIVED
Fax: (651) 675-5694 Staff:
DEC 15 2010
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: V
Tenant: VIL~---lk-) L
Suite
RESIDENT / OWNER Name:? Phone:
Address / City / Zip:
CONTRACTOR Name: . '..Vii-~.L HEATING & AIC, INC License ~l ~ E~ 1~~- ~
371 o urilsvl e ar Wa
Address: trite 120 City:
State: Urnsville, MN 55337 Phone: c l,~ ~ (CCt, l?
Contact: LLL Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: r qc i )
NOTE: Roof mounted and ground mounted me66nical equfptttent (a`.ro,q,wred to b9'screeined by pity
bode, please. oa'ntact ttte Mechanical tcit}p8ctor for lrifartttatian t►r>parr#~itted.$oreertl~}g\treth~od f;
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
~4ir Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
- Heat Pump _ Under / Above ground Tank Install Remove)
Other When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) r~f ()_TOTAL
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Pemmi Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall-org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
wit the approved,plan in the case of work which requires a review and approval of plans.
EApplicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date',.
_
Required Inspections: Under Ground Rough In Air Test Gas Service Test in-floor Heat Flna!
Exterior HVAC Scrieening Inspection
Address: 657 BRIDLE RIDE ROAD Lot 3 Blk 5 Sec/Sub BRIDLE RIDGE IST
These items were/were not complete at the time of the final inspection.
DATE: OCIOBER 29, 1990 Yes No INSPE..'TOR:
Final grade (6" from siding)
Permanent steps - garage ✓
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch I/
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
YW-;C7
0 7 5®988 ~Pt 010
3 135 .
Request at Fire No. Rou h In Inspecticn Required Ins action Other Thap Mugh-In
(You call inspedorahen ready) Ready Now A,'R-\f Will Notify Inspector
d" Vas No pate Reatl
1 ❑ licensed contractor 512~owner hereby request inspection of above electrical work at:
Job Address (Street, or Route No ,l City
&6-7 13r,o11e ;d e, d.
Section No. Township Name or No. Range No. County
1" i TlT) L, Phone No.
Power Supplier Address
Electrical Contractor (Company Name) Contractors License No.
on eoWner
Mailing Add (C I ctor or Owner Making Installation)
vvc~
Autho' re onirac !Owner akin nstallet PIgnyNU berr
MINIIIESOTA STATE BOKIRID OF 082190 University Ave,, S m Paul, MINI 55104 51041CITV THIS INSPECTION REQUEST WILL T
II III III II I I I I I I I I III BE UNLESS PROPER INSPECTION FEE IOS
Phone (012) 842-0800
EB-00001-09
REQUEST FOR ELECTRICAL INSPECTION CIR
/;r, See instructions for completing this form on back of yellow copy. YVS1-
(y!//Ip'( 'X" Below Work Covered by This Request Ne Ad - Rep. ' Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Rem S
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200 Amps i" Le,l00-Am s
Signs Inspector s Use Only. TOTAL` Itz
Irrigation Booms /,~~U
(E\`Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8 RD RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS
I, the Electrical Inspector, hereby Rough-in Data _ C ef,
certify that the above inspection has Finai , o
been made. ~°r
OFFICE USE ONLY
This request void 18 months from
PER IT cR v3 if
dAY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 025381
(612) 681-4675 Date Issued: 04/13/95
SITE ADDRESS:
657 BRIDLE RIDGE RD
LOT: 3 BLOCK: 5
BRIDLE RIDGE 15
P.I.N.: 10-14996-030-05
DESCRIPTION:
fl&Lzlding'Permit Type BASEMENT FINISH
Building Work Type ALTERATION
r`
s,
V
I
{ 3}
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00 COPIES $1.50
Surcharge $.50 Total Fee $37.00
Subtotal $35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
BLOOMINGTON HOMECRAFTERS 18611180 0004124 ELLIS BOB
6912 WASHBURN AVE 657 BRIDLE RIDGE RD
RICHFIELD MN 55423 EAGAN MN
(612) 861-1180 (612)686-9851
I hereby acknowledge that I.have read this application and state that theF
information is correct and agree to comply with all applicable State of
Statutes and City of Eagan Ordinances.
W
P I ANT/PERMITEE SIG CE ISSUED BY: IGNa 'URE
EAGA 3830 PILIOT KNOB RDN 55122Jr1, 0 0
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) Cool( '!l
681-4675
New Construction Reouirements Remodel/Repair Reouiremems
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sixes; poured fnd. design; etc.) ♦ 2 silo surveys (eztedor additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan M lot platted attar 711193
required: _ Yes _ No
DATE: CONSTRUCTION COST: ODD
DESCRIPTION OF WORK: ' J D-°`L'~ N7` ~T Fd b fF t G,
STREET ADDRESS: 5 1 12 2 I h L IL ' 1 I Q C1 R' ~-rJ
LOT BLOCK r SUBD./P.I.D.
PROPERTY Name: Phone #:'J
OWNER ~T ms*
Street Address-
City: State: Zip-
F5 `9er.,w470rU
I - 18 0
CONTRACTOR Company: °`ti 2 P-F1 ~'L °Y Phone t&
Street Address: &o 12- w e-5 N'3 114W License A -L4
City: `h 0*1 Ay State: M /1,/ Zip: 542-3
ARCHITECT/ Company: Phone #
ENGINEER
Name: Registration
Street Address'
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY I~ E CCEQVVEM
Certificates of Survey Received _ Yes _ No APR 0 7 1994
Tree Preservation Plan Received Yes No
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ - IZ326
PHONE: 454-8100 p
BUILDING PERMIT Receipt # (1
To be used for SF DWG/GAR Est. Value $90,000 Date SEP 4 1990
_Site Address _ 657 BRIDLE RIDGE RD
Lot 3 Block 5 Sec/Sub. BRIDLE 1S OFFICE USE ONLY
Parcel No. Occupancy R-3 M1 FEES
Zoning PD R=1
W Name MCDONALD CONSTRUCTION INC (Actual) Const V-N Bldg. Permit 595.00
o Address 1212 BLUEBILL BAY RD (Allowable) V-N Surcharge 45.00
City BURNSVILLE Phone 431-7566 #of Stories
Length 521 Plan Review 386. oo
.0 Name SAME Depth 48 SAC, City 100.00
05, Address S.F. Total
1- City Phone S.F. Footprints SAC, MCWCC 600.00
r On Site Sewage Water Conn 625.0
Name
W5 0
W on site well
0 Water Meter 90.00
3 Address MWCC System -X-
0
<w City Phone City Water X Accl. Deposit 30.00
PRV Required S[W Permit 30.00
1 hereby acknowlee that I have read this application and state that the Booster Pump .5
0
information is Corr and agree to comply with all applicable State of StW Surcharge
Minnesota Statutes n City of E~1Ba`n Ordidinances. Treatment PI 252.00
Signature of Permiteerr V~Jr^ APPROVALS Road Unit 5 5. 00
A Building Permit is lue lo: MCDONALD CONSTRUCTION Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances, Bldg. Off. Copies
Building Official _ nn(1 n pi d J n Variance TOTAL 3,108.5
0
4
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. l
~Oy„ \J~1• 14)
To Be Used For: S,,4,IPA, l Valuation: -46e-z= Date: R-29 -1 Q
Site Address X57 Brrid~e Rk,&e• eA OFFICE USE ONLY
Lot 3 Block s FEES
Occupancy R 3 M'1
Zoning PD T2-1
Parcel/Sub Ekialc era Z Actual Const V-N Bldg. Permit 5 5,00
Allowable V- N Surcharge 4 ,-50
Owner Hrbt,,%oAA Cn ,c"r4 o A-(',v # of stories Plan Review 3861017
Length SAC, City f 00\ 00
Address 1'.>17 lus~ill '[jgu Vj Depth SAC, MWCC cb-o QD
S.F. Total Water Conn 462So0
City/Zip Code 2 ,rt-ny Ile 55337 Footprint S.F. Water Meter GO,oo
Acct. Deposit O D
Phone 431 - -15(x6 On site sewage- S/W Permit 3o~[h7
On site well _ S/W Surcharge .50
Contractor - ,c AS (~,_„aer MWCC System Treatment Pl. ZS 0
City water Road Unit' 3 A7
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
GAcRAGa a.-
2-(p A3?. g3Z
WK/6= (64)
2x 1i- (zU)
'ly4 X l5= 1116n
3~x2~= `I36
x yg
t`1 Kt4. Iq6
f 16o x l'~ = 1(.5? o
1ST ~i.ooYL
13~T 11'0
1/ZntL- I~
Ii Y- 6
L2oF X 51= ~tS"S7
89 Z37
/YJCQ'~'VAU.~ fin' niST,
fl O 8 C T # 3zoz, of
p NGINCEflING i P RN~NEfli5 ntiid AND SjURVIYURS f3K IqS
r~ ,Z
COMPANY, INC.
L IUUU EAST 116111 STREET, SURNSVILLE, MINNESOTA 66337 PH 432-3000
Certificate of Survey
Legal Description: LoT 3, 6LOL.K 5, 39112LE RIL-6E /ST ADD/T/oN
DAKOT/} Coulv7Y, M/A/NE5oTA.
DENOTES EXISTING ELEVATION
(727.o~ UENOTES PROPOSED ELEVATION
INUICAr•ES DITIECTION OP SURFACE DRAINAGE
1227,33 = FINISNEU GARAGE FLOOR ELEVATION
9/9.bZ = BASEMENT FLOOR ELEVATION
9Z 7. rob = TOP OF BLOCK ELEVATION
SCALE: 1' a 30' ✓ ✓ L- ~ I
¢3"W
/25.63 Zz,o
o_
URH/NAGE An/D _
UTILITY EASEMENT
X92/, 5~ LJ C _ ``i
Zoe
(~a 3 \o F
25 l'2
~ I R illy /
6926)
2j.o ~9 ti• za
30' FRO,v7- 45UIL91A16 0 3 h /
SETBACK L/NE (p25,5~ o ~ ,col ~ ~ D(
L=57.S/ ~ ` I
J
4 = S0° 4.6 R,
I
% r
fZoAL7 -v
I hereby certify that this Is a line and collect reptesenlallon of a itacl of land as shown
mt
slid described liaison. As piepated by•me oti this '24• day of AU6U6-T 1990
rdlnn, lie{I. rte. l~o~ 5
Ll C/
#121/4
MIWW0TA STATE ENERGY CODE CALCULA4JNS
BASED ON CHAPTER 5 OF THE
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective I/l/84
Owner ~~Lpl_L-~ (~(~L).~Af.~1pV Phone Date
Site Address Lol 3 $L,ot4c. S 2QID2.E F►la6E IST Arib,1.1.
Contractor_ Phone
Building Classification: Type Al (Single Family Duplex)_ Type A2(Residential)
(3 stories or less
NOTE: Complete pages 3 and 4 first.
(Other) (Over 3 stories)
GENERAL INFORMATION
N v`
1. Building Perimeter a W k'_1 641"f t.
2. Wall height (ground to eave) ft.
^ 2•
3. 1. x 2. (above) gross wall area ft.
4. Building dimensions (L) X (W) 12 ft.2 roof E floor area
5• Square foot area of rim joist - Floor joist size (2 x /L
/CP )
X Perimeter = Rim joist area = 13013 ft2
12
6. Doors - Area `""1 I I D I
Thickness in. U factor •I•~~
Type of Construction Perimeter ft. i
Manufacturer
7. Total door's perimeter ft. '
i
8. Windows: Manufacturer ItJr~~(~, }1~1~J State approved
U factor
TYPE SIZE AREA (Ft.2) NUMBER OF TOTAL FEET 2
l~ EACH UNITS
o "
9. Total ft.2 Glass 51(2
10. Fireplace area: Width X height = X Ft.2
_ II
11. Exposed foundation: Height X Perimeter o x 157 = ` o5 ,1q
1 Ft.2
COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEIN(
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED.
12.."Framing area = 10% ofq gr s wall area.
13. Gross wall area G ~7 ft.2
Window area A 1235,o ft.2 U windows = JY~ U x A = (0
Rim joist area A ft.2 U rim joist i~ U x A =
2
Door area A ft. U door area = u .x A
FiCeplrice area A ft. U 4
Z ~ ~
,F60 Sc~~ 2 14*~ = I U- x A
= I i~
Exposed foundation A _f t.' U foundation = 01(o U x A =
Framing area A 2
ft. U framing area ' 0 95 U x A =
Net wall area A I~ i 2 ft. U wall = o 3 U x A=
(13B) TOTAL . . . . . . . . . . U x A
14. Gross wall area(i 0.11 (A=1 single family & duplex = allowable U x A/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
X .28 (Over 3 stories)
c~ q BTUH Must be larger than
A 1 / x U Code 3Zi / 136 above
15. Ceiling framing area (Af) equals 10% of ceiling area or the. same as)
15A. Gross ceiling area = (L) x (W) Z
- _ 2- ft.2
15B Joist area (Af) = 10% ceiling area = II ZZ ft.2
15C. Net ceiling area (Ac) (15A - 15B) _ fl~7i ft.2
Uceiling xAc= ix IIoZ- Z ~2
U framing x A f= O l3 x
15D. TOTAL 'U x A
16. Ceiling area (15A)'x 0.026,.(A-1 single family & duplex - code allowable U x A
x 0.033 (9-2 other residential)
x 0.06 (other)
I Z Z4 - ,ij Z (p BaUH Must be larger than 150 (above)
F .(or the same as)
A (15A) ~f x U code 61 15t
NOTE: Use U and A values obtained from pages 1, 3 and 4.
CERTIFICATION:. I hereby certify that I have calculated the "U" factors and "R" values
herein and that the building here described meets or exceeds the State of Minnesota
Energy Conservation Act.
Date Signature
2.
- ~ ~ 9o--
V~I~.-- f✓..x~osE_P
54x0 +3+ ~z,5+4,z,5) . I~ 7,7
<i7~ _ Z 1~~,78
III zoX~2 = (o,oX3. !°o,o _ _
fl Iwx~v= C~,75x z = 135
I ~xq8=13,5X1= 13,E
111 lo I 'z+Xw = lI, Z5 A ~ = fr o
1111 ~Z~-x?w = ~,75X~ = ~
IJS,o
3~5T2 op-, w/
~7Lr= Zj~O _
v ~Zr D
9J.o
L d_ BL CITY USE ONLY RECEIPT 13 !
SUBD. --v DATE: /07/e
1995 PLUMBING
CITY PERMIT (F NTIAL)
C
3830 PILOOF EAGAN
T KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
► townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x 1 =
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:"/'
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( ) ~
BOULEVARD TREE PLANTING
OFFICIAL PERMIT
PART III
C o 4 3 g~oc/Cs
APPLICANT INFORMATION: g L` t G l s t
APPLICANT NAME: I~j C' . i \lV L- LC t J
ADDRESS: (m S 7 . cl I P cl P ~C~ of, 5 S r 2
TELEPHONE: 6 Y jo -
ADDRESS OF PROPERTY TO BE PLANTED: (j S 7 ~r c~l/ it i rg
OWNER OF PROPERTY (If different from Applicant):
TREES TO BE PLANTED:
Distance
Tree Variety Size Location from curb
Example:
Marshall's Ash 1 1/2" dia. 15 feet south of driveway 11'
1. S r~ rofl~ e-
2. Din Ciro K
3. ~y
DIAGRAM: S l d e 1/ l o w V~~.~ I~,
Please attach a rough diagram of your lot and the right-of-way area showing the location of
structures, buildings, driveway, street edge or curb, and location of tree(s) to be planted.
Wc.!IC t/,cc S 7
AGREEMENT-
I agree to plant the boulevard trees according to the above stated conditions. I have read
and understand the City Ordinance pertaining to tree planting and maintenance and
understand its contents. A copy of the ordinance is attached to and made a part of this
permit herewith.
I understand that the City of Eagan assumes no liability or responsibility for injury or
damage to persons or property however caused through the issuance of this permit. All
work done under this permit shall be performed without cost to or obligation by the City
of Eagan.
~T")J (R_) L' Y/?, 3'9
Signature of Applicant Dat
Signature of Property Owner Date
(Please keep information sheet (Part IV) and return this signed portion to City Hall, 3830
Pilot Knob Road, Eagan, MN 55122.)
FOR CITY USE:
Property I.D. # J B - 149 `t 6 - 0.3 0 - o S Lot 3 Block s~
Subdivision 8R i p c r KI ll G6 Is t A DP
Application Record
Reviewed by: yw a f C S- ¢ - 2 4
Engineering Date
Reviewed by: 5--t1
City For t r Date
Recorded by:v~,~ Q f ti,~~ ,r - q ¢
Date
22wp:b1vdt=.pla Rm 9/20/90
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I « I of;;
Site Street Address
LL~~ lQ0-1 j?'?YL61l e, 9ttd,1t h CA Unit #
Property Owner Jyh EL)LS Telephone # ((ocA (a~0 C~ V
H.P. PIPEWORKS
Contractor 3670 DODD ROAD Telephone# ( )
Address (651) 365 1340 City State Zip
The Applicant is: - Owner icontractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. ff you are instalfinp only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
- new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ IS.'~Z
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Pl nted N me Applicant's Signature J JL1 6 2005
i
i'~; S V lk~
.'7~lgv ~iqj a~
2007 RESIDENTIAL BUILDING PERM T APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 5`.122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RenadelfReoair Reguinanents Office Use Only
3 registered site surveys showing sq. R. of lot, sq. ft of house; and all roofed areas 2 copies of plan showim footint s, beams, joists cad of Survey Rood - _Y _N
(20% maximum lot coverage allowed) l set of Energy Calculations for treated additions SOBS Report _Y _N
1 Soils Report if proposed building is to be placed on disturbed soil t site survey for addibors & der cs Tree Pres Plan Reed _Y _ N_
2 copies of plan shoring beam & window saes; poured found design, etc. Addition - indicafe ff on-.;de sep b system Tree Pres Required _ Y.
_ N
I set of Energy Calculations oftaite sep6csystem _Y. ._N
3 copies of Tree Preservation Plan it lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Plans are considered public information unless you state they ro trade secret and the reason.
Date / / -I a Construction Cost
Site Address Ij x.~ ~,1 (~,Q ~o (7G~ l'S~>/•1 f~ _ Unit/Ste #
Description of Work 6:t
Multi-Family Bldg - Y v"_N Fireplace(s) _ 0 2
Property Owner -.}-T, Telephone # ( )(~(X~ / /1 S~
Contractor t /g.5]](rycAt' - f8{?`}~~ ~S~L~)C 1 (C~/t~.~-`
Address City qaA oD 5
state -7/t2. Zip,5K-3g33 Telephone#(~K) 933-Q?YY
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateeorY 1 Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based )n a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber relephone )
Mechanical Contractor Telephone )
)
Sewer water Contractor Telephone
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of he City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a p mnit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the c 3se of wo whit requires a review and
approval of plans.
Z
Applicant's Printed Name A,p icant'sSignattlre JUN 0 1 2007
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
❑ 01 Foundation ❑ 07 05-p1ex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
Y- 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Parch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01of_plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch//,ddn.(4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-p1ex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex ,p ` ❑ 25 Miscell:meous /~y~'
WorkTvoes prvo 1 A vet L"c~ `C LTa04
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish I iterior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish I Foundation ❑ 45 Fire Repair
33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroaf ❑ 46 Wndows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout t(, applicant
Description: Water Dafm~age_Yes
Valuation li Occupancy MCE S System
Plan Review 100% or _ 25%
Census Code Zoning City Nater
SAC Units Stories Booi;ter Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const (fin 'J Width
•J REQUIRED INSPECTIONS
- Footings (new bldg) _ Sheetrock
- Footings (deck) _ Final/C.O.
- Footings (addition) FinaVNo C.O.
_ Foundation _ HVAC
_ Drain Tile Other'
Roof _ Ice & Water - Final - Pool _ Ftg _ Air/Gas Tests _ Final
Framing Siding _ Stucco Lath Stone Lath Brick
_ Fireplace _ R.I. Air Test -Final _ Windows
Insulation _ Retaining Wail
Approved By: Building Inspector - - - - - - -
° - -
Base Fee
Surcharge Pox
Plan Review ~ ~ ^ IA
MC/ES SAC U
City SAC
Utility Connection Charge ►/f 1/~~
S&W Permit & Surcharge
Treatment Plant
License Search I -
Copies
Other
Total
1
City of Ea~aIl ~VUV e 3 ZQQa ~J I Permit# C S,'
U I
I Permit Fee_--t""-( I,36),
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: I
By I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
I I
2008 RESIDENTIAL BUILDI G PERMIT APPLIC,ATIOaN~,
Date: L7 Site Address: e 1 /7 [e y . 2
Tenant: Suite
RESIDENT / OWNER Name: n1 eL t_ JS Phone:
Address/ City/Zip: S Yr.l >7 ti L t2- i r7 lnLU A-r7
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
ConstruOon Cost: ~ ® Multi-Family Building: (Yes / No ~
CONTRACTOR Name: Jrr~~U~~.G.~ f!T C/14 6I0,vjr. License 4-12-4
604 iL L' Address: (71 I Y W A'S 4 ✓Jj U ✓1, " A, 0 , se) 2
~~(,S2 IZ q City: IL-t G'41- L r, State: Zip: S~-4 Z' 7
JEA 12 S C' -J
l~J ~4 / 4C) Phone: 6212. L'I O Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(V submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: I T~ U I <A O f L L) f" Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are"considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Ap icant's Printed Name App ica~-nMSignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool
Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi
❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF
❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc.
❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage
❑ 04-Plex ❑ 12-plex ❑ Miscellaneous
WORK TYPES
❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building`
❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior
..Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation
Replacement ❑ Egress Window ❑ Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION ~Valuation ~ Occupancy -~-~v r MCES System
Plan Review Code Edition UV_7 SAC Units
(25%100%Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. _4~j_ Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof:-Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
y Framing Siding:-Stucco Lath -Stone Lath -Brick
Fireplace:-R.I. _AirTest -Final Windows
Insulation Retaining Wall
i
Reviewed By: I Building Inspector
RESIDENTIAL FEES: I '
Base Fee ) 'I/ /
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
For Office-Use 401 I
I Permit
City of Eajan
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i -Staff:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I/ 3 Site Address: C~
Tenant: r Suite
RESIDENT / OWNER Name: B d~ C J/ 5 Phone:
Address / City / Zip: G 5 7 1I8 ` J V
CONTRACTOR Name , Ff b r ~n L License u:
Address: /$8C) Qi l~/e5~ QV 2G1 q voL
city: Ion • ba V P State: ,-Zip: SJr 3~~
Phone: dW 7; T 1 1 Contact Person: Q n >1 0`( - ( a c I M') ovj
TYPE OF WORK -New Replacement Repair _Rebuild x Modify Space _ Work in R.O.W.
Description of work: Q'~i 1 in P"? VV)
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
- Lawn Irrigation Add Plumbing Fixtures
L RPZ PVB) Main _ Lower Level)
Septic System -Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 t a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start wahojjt a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro of lans.
X l Yt vl In M 1 r)Y~ x _
Applicant's Printed Name nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test _Gas Test -Final
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
r-
Peumt No. Permit Hoider Telephone Y
ELECTRIC 00 7 88 ,~/J~J 9,'
PLUMBING y 7 9f P~
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING /
ROOFING
1
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
i
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'N
Trrtif irate of (Or.ruvanry
citp of eagan
Repa rimrnt of Waning 3nmrrum
i
This Certificate issued pursuant to the requirements of Secdon 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the
Cig' regulating building construction or use For the following: ~
use cuZifinrioo
ewe- PrmicNo. 1832€
0--pa-cy TYPE 7.ooing Digv Type Coca IN
Owoer of Bwldiog
rjji ~F
MITMW V AM- i2!2 -
Bwl&ng Addict 657 BEM-1,
-wiUk, - L-fity s - 19F
MCC
BWlding OlttOal i .
21, 1w
POST IN A CONSPICUOUS PLACE
.1
-•7! `qY~~":'. - t. ..-ar .,GIFpFSt-= T1't~~*$~~.rA~y~.r: -s. Mq-,n, it -r - +T404 - _a.,~ are...
CITY OF EAGAN 18326
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Sr l1WG/CAR Est. Value ~9C1 C-00 Date_ "L' 4 1 g , t,
Site Address 7 B7 BRIDLE R I DC'E RD
$lklbLL RIDGE 1S OFFICE USE ONLY
Lot 3 Block 5 -Sec/Sub.
Parcel No. Occupancy R-.'> 12 -1 FEES
Zonin PIL n-I
Name C"' IX;AIAI CONSTRUCTION, INC g
w (Aqua!) Const V=N Bldg. Permit 5'~ 5. 00
3 Address 1212 BLUEBILL BAY RD (Allowable) V-N 45.00
o City BURNSVILLE Phone 431-7566 Surcharge
p of Stones
Length 521 Plan Review 386.00
io Name SA !t Depth 4,30 SAC. City 100.00
o¢ 'Jt Address S.F. Total SAC, MCWCC 600.00
City Phone S F. Footprints 6Zg•00
On Site Sewage Water Conn
185 Name
- W On Site Well 90.00
W ~ Water Meter
1 Address MWCC System 30.00 11
a W City Phone City Water X Acct. Deposit
PRV Required S,'W Permit 30'
I hereby acknowlege that I have read this application and state that the Booster Pump S!W Surcharge .50
information is correct and agree to comply with all applicable State of 252.00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 155.00
A Building Permit is issued to: MCDONALL' CONSTPUC ICs Planner Park Dec.
on the express condition that all work shall be done in accordance with all Council _
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Off. Copies
Building Official Variance TOTAL 3 * 1 • . SO
Permit No. Permit Holder Date Telephone N
WATER %<!%v
i
SEINER
PLUMBING J
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
CJ
Footings I '/:g
Foundation
Framing
Roofing
Rough Plbg -z -C
3~ rk(J
Rough Htg. /0/7
Isul. L' _ rC
Fireplace f C ~iy c= L1
Final Htg. 0 '~G
Final Plbg p - .S 9
Const. Meter Plbg. Inspector - Nobly Plumber
Engr./Plan
Final
Bldg
Deck Ftg.
Deck Final
Well
Pr. Disp.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # 44 316 7 1 / / PERMIT DATE
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # ~
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REQUESTED
LOT BLOCK SEC/SUB
SEWER WATER TAPS
APPLICANT:
ADDRESS: COMM IND RESIDENTIAL
CITY, STATE ZIP - NEW EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP
PHONE: lr.t
I AGREE TO COMPLY WITH CITY OF
OWNER: T i EAGAN ORDINANCES
/R
ADDRESS: ` f LL
Gf /
~ CITY, STATE ZIP
PHONE: _ SIGNATURE WH METE ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA098883
Date Issued: 05/03/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 657 Bridle Ridge Rd
Lot: 3 Block: 5 Addition: Bridle Ridae Ist
PID: 10-14996-05-030
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Crew2 Inc Robert W Ellis
260 l\Iinnehaha Ave 657 Bridle Ridge Rd
Minneapolis NIN 55406 Eagan NIN 55123
(612) 276-1680
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Date:
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
1
Permit Fee: ip l/CEJ
Date Received:
Staff:
1313
l
C 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
J o//3 Site Address: j3 7 13rfele
Resident/
Owner
Type of Work
Name: 17); - c , f -i y F
Address / City / Zip:
65-7 ►:sti c'& f11 i-/
CA-
Unit #:
1,.
Phone:}� / �.c).16
Applicant is: Owner y Contractor
Description of work: L?
Construction Cost:„) (i
Multi -Family Building: (Yes
/NoX)
Company: L f viii It f Ai ,,,,ch Contact: jeP Ile/ /`- etd
Contractor Address: ho r ct,/4d./ 4 City: ,t -,14./e -^,t -,14./e-^, v1) P15?
State: Zip: cb7b Phone: &/ » 1' /' _J T
License #: V OS SJ 2- Lead Certificate #: 4/4 94 C)J S — /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
w. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit
x i` k L jA''
Applicant's Printed Name
x
Applj
nt.s
ignature
Page 1 of 3
r-(1
DO NOT WRITE BELOW THIS L E ` / B(0 -2,L{
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
1,„ Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 1.00% \)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season) Storm Damage
‘,/ Porch (4 -Season) Exterior Alteration (Single Family)
/` Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
✓ s, an
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests
/ Framing Siding: _Stucco Lath _Stone Lath _
Fireplace: Rough In _Air Test _Final X Windows
Insulation Retaining Wall: _ Footings _ Backfill
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
rot')
)/31
wtiNueiv11-60-00MS
/ X27
Page 2 of 2
4p/1W
ROBE
EuGucEn1No
COMPANY, INC.
IUOU EAST 146111 STREET, UURNSVILLE, MINNESOTA 6633( PH 432-3000
CONSUL.T Ir4O ENO NEFns
PLANNERS and LAND S'URVEYUAS
Certificate of Survey
Legal Description: LOT , eLDcJc s BR/OLE R/GSE /57 ADD/7/9A
DAKJ7:4 CouN7); M/MV&SoTA .
) DENOTES EXISTING ELEVATION
(gz7. o) DENOTES PROPOSED ELEVATION
SCALE 1" a 30'
DR4/A/4Gg ,4N7
UT/L/TY EASEMENT
INDICATES DIRECTION OF SURFACE DRAINAGE
727.33 = FINISHED GARAGE FLUOR ELEVATION
/9.62 = BASEMENT FLOOR ELEVATION
= TOP OF BLOCK ELEVATION
V i/ L Z.)h -/r / ,/� I
I�
(n3,0)
(927.5j6.2
/, i / -i
T
L_L' /
N 84° 59' ¢3"w
/27.E,3
0
628, o)
6-0
Date:
C!ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
(0'12-13
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
(2--- / -3 Site Address: (� 5 7 13ri d /G
Tenant:
Name: 23®b
Suite #:
Phone:
Address/City/Zip: �s7 8 /C/c y -c .e
Name: g1c t%? 647.4"<v- License #: /2CG<' 1.1"
Address: 2 3 2 7 I -7/c' � �-,� .�v` City: Ga
State: 7/7 Zip: ce Phone: t 7 Z_
Contact ,44- v :4) Email: 1® fc / i'
New _ Replacement Repair _ Rebuild s Modify Space Work in R.O.W.
Description of work: Aidj -j c S ef-
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Water Softener
k Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131729
Date Issued:07/06/2015
Permit Category:ePermit
Site Address: 657 Bridle Ridge Rd
Lot:3 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W Ellis
657 Bridle Ridge Rd
Eagan MN 55123
(651) 686-9851
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164829
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 657 Bridle Ridge Rd
Lot:3 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W & Catherine Ellis
657 Bridle Ridge Rd
Saint Paul MN 55123--167
(651) 246-2544
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167579
Date Issued:03/22/2021
Permit Category:ePermit
Site Address: 657 Bridle Ridge Rd
Lot:3 Block: 5 Addition: Bridle Ridge 1st
PID:10-14996-05-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W & Catherine Ellis
657 Bridle Ridge Rd
Saint Paul MN 55123--167
(612) 701-8486
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature